Inequality Kills: According to Reports on Cancer in Ireland

Good to see an article in the Irish Times addressing the relationship between inequality and cancer in Ireland according to two recent reports. The article lists several of these reports’ findings :

  • “people living in more deprived areas experience a poorer survival from cancer than those who live in more affluent parts of Ireland.”
  • “breast cancer patients from the most deprived areas were about 30 per cent more likely to die from their cancer than patients from the least deprived areas, having allowed for differences in patients’ age.”
  • “those from more deprived backgrounds were more likely to present late with advanced stage cancers. In addition, they were more likely to present with symptoms rather than through screening and were less likely to have breast-conserving surgery.”
  •  “death rates from cancer in some of the poorest parts of Dublin were more than twice as high as rates in more affluent areas.”
  • “Some of these disparities are due to the difficulties accessing healthcare experienced by the poorest in society”

Unfortunately the article is quite small, far from the symbolism of front page significance, and all too easily forgotten. I fear the class-based, social justice and social environment features behind such cancer rates will become lost again in mainstream media’s tendency towards ‘episodic’ reporting. For an illustrative example see this previous post which highlights how a statement, about poorer people being up to 70% more likely to get some cancers, gets lost in a new report’s classless assessment. Such easy returns to class-invisibility with regard to the reporting of cancer rates is perhaps aided by the media’s bias towards the middle-class experience along with a narrow dependency on a panel of go-to experts wherein the individualising mainstream economist is dominant – although for “softer” social and more lifestyle related issues the individualizing psychologist becomes the consecrated ‘public intellectual’. This narrowness of expertise in public debate and policy-related decision-making is something I will return to in a future post.

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